TWIN FALLS DENTAL GROUP PLLC
NPI 1720520505
Dentist - General Practice in Twin Falls, ID

NPI Status: Active since November 10, 2016

Contact Information

788 EASTLAND DR STE A
TWIN FALLS, ID
ZIP 83301
Phone: (208) 733-2621
Fax: (208) 733-1086

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 13D1014072
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About TWIN FALLS DENTAL GROUP PLLC

This page provides the complete NPI Profile along with additional information for Twin Falls Dental Group Pllc, a provider established in Twin Falls, Idaho operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1720520505 assigned on November 2016. The practitioner's primary taxonomy code is 1223G0001X with license number D4164 (ID). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Christopher Hansen Dds (Dentist/partner)

NPI
1720520505
Provider Name
TWIN FALLS DENTAL GROUP PLLC
Entity Type
Organization
Location Address
788 EASTLAND DR STE A TWIN FALLS, ID 83301
Location Phone
(208) 733-2621
Location Fax
(208) 733-1086
Mailing Address
3548 WASHINGTON PKWY IDAHO FALLS, ID 83404
Mailing Phone
(208) 524-2300
Mailing Fax
(208) 733-1086
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2016
Last Update Date
11-10-2016
Code Navigator

A dentist like Twin Falls Dental Group Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
D4164
License State
ID
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTOPHER HANSEN DDS

Authorized Official Title
DENTIST/PARTNER
Authorized Official Phone
(208) 733-2621

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D1014072
Facility Type
Community Clinic
Certificate Effective Date
June 25, 2003
Certificate Expiration Date
May 22, 2026
Laboratory Director
RONALD SLAUGHTER
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Twin Falls Dental Group Pllc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1720520505, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 1 + 0 + 2 + 0 + 5 + 0 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1720520505.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720520505, enumerated as an "organization" on November 10, 2016.

The provider is located at 788 EASTLAND DR STE A TWIN FALLS, ID 83301 and the phone number is (208) 733-2621.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.